jeudi 27 janvier 2005
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POST 00747E : CHILD HEALTH DAYS Follow-up on Post 00740E 27 January 2005 __________________________________________ This posting contains three contributions. Robert Steinglass (mailto:[email protected]) from Immunization Basics asks some questions on these Child Health Days. Answers first come from Robert Davis (mailto:[email protected]) from UNICEF/ESARO with a presentation of a Technical Guide of Child Health Days of another country, Angola, and then from Issa Makumbi (mailto:[email protected]) Uganda EPI Programme Manager. __________________________________________ Thanks for posting this interesting and promising strategy from Uganda. It is good to see immunization services incorporating other population-based interventions. One concern I have is that these semi-annual campaigns offer only measles and TT vaccines. What is practically being done about using these accelerated months to increase coverage with other vaccines? At the very least, a very good communications effort will certainly be required to ensure that recipients (a) realize the need to start/complete other vaccinations and (b) understand that these semi-annual campaigns do not replace the need to go to fixed or outreach session sites for vaccination? But will verbal messages to mothers be enough? For example, is there a need for simple referral slips, including where and when to go for missing shots? I am aware of one country (Haiti) that has poor routine immunization coverage and has relied on these semi-annual campaigns for several years in a row to offer only measles and OPV vaccinations. Haiti has recently seen outbreaks of diphtheria and increases in neonatal tetanus. Given recent measles mortality reduction strategies in Uganda, pertussis probably now kills more children each year than measles. Then there is the need to ensure that children are protected early against hep B and Hib. And the priming doses of tetanus in three doses of DTP also protects against childhhood tetanus and increases immunity such that young women may even be protected in case they receive few doses of TT. So what are the practical steps being taken to ensure that these semi-annual campaigns (which are likely to be highly visible, politically popular, and well-funded) are used deliberately to actually strengthen routine services - - both during the acceleration months and between the campaigns? Thanks. Robert ---------------------------------------- Good points. In the Angolan CHDs, all childhood antigens are given. See the following link : http://www.technet21.org/ANGOLACHD_TECHNICAL_GUIDE.ppt . Bob ---------------------------------------- Dear Robert 1. All antigens are given through screening and depending what dose 1st or last dose. 2. A few people think CHDs are campaign but it is not. 3. Good ground for integration and cost saving. 4. CHDs are still in developmental stage and not all answers are available. Dr. Issa Makumbi Programme Manager-UNEPI ______________________________________________________________________________ Visit the TECHNET21 Website at http://www.technet21.org You will find instructions to subscribe, a direct access to archives, links to reference documents and other features. ______________________________________________________________________________ To UNSUBSCRIBE, send a message to : mailto:[email protected] Leave the subject area BLANK In the message body, write unsubscribe TECHNET21E ______________________________________________________________________________ The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de coopération internationale en santé et développement, Québec, Canada (http://www.ccisd.org) ______________________________________________________________________________
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